Sarcopenia and Osteoporosis: Two Sides of the Same Coin

Osteosarcopenia is a condition characterized by the coexistence of both osteoporosis and sarcopenia. It is more prevalent in aging populations. Due to the heightened risk of falls, fragility fractures, and associated morbidity and mortality, osteosarcopenia results in a significant healthcare burden...

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Main Authors: Abhijith Anil, Sandesh Agrawal, Mikeson Panthackel, Bharat Dave
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Indian Spine Journal
Subjects:
Online Access:https://doi.org/10.4103/isj.isj_91_24
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author Abhijith Anil
Sandesh Agrawal
Mikeson Panthackel
Bharat Dave
author_facet Abhijith Anil
Sandesh Agrawal
Mikeson Panthackel
Bharat Dave
author_sort Abhijith Anil
collection DOAJ
description Osteosarcopenia is a condition characterized by the coexistence of both osteoporosis and sarcopenia. It is more prevalent in aging populations. Due to the heightened risk of falls, fragility fractures, and associated morbidity and mortality, osteosarcopenia results in a significant healthcare burden. The pathogenesis of osteosarcopenia is multifactorial, involving mechanical, biochemical, genetic, and lifestyle-related factors. The role of cross-talk between muscle and bone, mediated by various myokines, osteokines, and signaling pathways, has been extensively studied. Epidemiological studies reveal a global prevalence of osteosarcopenia to be 18.5%, with a higher incidence in older adults, particularly women. Diagnosis relies on assessing both bone mineral density and muscle mass. Tools like dual-energy X-ray absorptiometry (DXA), along with functional tests for muscle strength and physical performance, are useful in the diagnosis of osteosarcopenia. Management strategies include physical activity, nutritional supplementation, and pharmacological interventions. Resistance training combined with protein supplementation has shown promise in improving muscle strength and function, though evidence specific to osteosarcopenia is sparse. Emerging therapies, including anabolic agents and potential gene therapy, offer hope for more targeted treatment approaches in the future. Recognizing osteosarcopenia as a distinct clinical entity helps in developing management strategies. Further research is needed to refine diagnostic criteria, explore novel therapeutic interventions, and improve patient outcomes.
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spelling doaj-art-afd6ebdf37c844eb848a11cc08cfef8c2025-07-12T14:59:04ZengWolters Kluwer Medknow PublicationsIndian Spine Journal2589-50792589-50872025-05-018211412010.4103/isj.isj_91_24Sarcopenia and Osteoporosis: Two Sides of the Same CoinAbhijith AnilSandesh AgrawalMikeson PanthackelBharat DaveOsteosarcopenia is a condition characterized by the coexistence of both osteoporosis and sarcopenia. It is more prevalent in aging populations. Due to the heightened risk of falls, fragility fractures, and associated morbidity and mortality, osteosarcopenia results in a significant healthcare burden. The pathogenesis of osteosarcopenia is multifactorial, involving mechanical, biochemical, genetic, and lifestyle-related factors. The role of cross-talk between muscle and bone, mediated by various myokines, osteokines, and signaling pathways, has been extensively studied. Epidemiological studies reveal a global prevalence of osteosarcopenia to be 18.5%, with a higher incidence in older adults, particularly women. Diagnosis relies on assessing both bone mineral density and muscle mass. Tools like dual-energy X-ray absorptiometry (DXA), along with functional tests for muscle strength and physical performance, are useful in the diagnosis of osteosarcopenia. Management strategies include physical activity, nutritional supplementation, and pharmacological interventions. Resistance training combined with protein supplementation has shown promise in improving muscle strength and function, though evidence specific to osteosarcopenia is sparse. Emerging therapies, including anabolic agents and potential gene therapy, offer hope for more targeted treatment approaches in the future. Recognizing osteosarcopenia as a distinct clinical entity helps in developing management strategies. Further research is needed to refine diagnostic criteria, explore novel therapeutic interventions, and improve patient outcomes.https://doi.org/10.4103/isj.isj_91_24dxaosteoporosissarcopenia
spellingShingle Abhijith Anil
Sandesh Agrawal
Mikeson Panthackel
Bharat Dave
Sarcopenia and Osteoporosis: Two Sides of the Same Coin
Indian Spine Journal
dxa
osteoporosis
sarcopenia
title Sarcopenia and Osteoporosis: Two Sides of the Same Coin
title_full Sarcopenia and Osteoporosis: Two Sides of the Same Coin
title_fullStr Sarcopenia and Osteoporosis: Two Sides of the Same Coin
title_full_unstemmed Sarcopenia and Osteoporosis: Two Sides of the Same Coin
title_short Sarcopenia and Osteoporosis: Two Sides of the Same Coin
title_sort sarcopenia and osteoporosis two sides of the same coin
topic dxa
osteoporosis
sarcopenia
url https://doi.org/10.4103/isj.isj_91_24
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AT sandeshagrawal sarcopeniaandosteoporosistwosidesofthesamecoin
AT mikesonpanthackel sarcopeniaandosteoporosistwosidesofthesamecoin
AT bharatdave sarcopeniaandosteoporosistwosidesofthesamecoin